0 00:00:00.345 --> 00:00:05.420 Hi, I'm Kim Soondong, a plastic surgery specialist and the CEO of SOON Plastic Surgery 1 00:00:05.967 --> 00:00:09.287 Today, I'm going to talk about double eyelid surgery 2 00:00:09.558 --> 00:00:13.818 (The difference in eye structure between Asians and Westerners) 3 00:00:14.220 --> 00:00:17.900 Most Asians have thicker skin than Westerners 4 00:00:17.900 --> 00:00:21.441 Also, Asians have slightly protruding eyes than Westerners 5 00:00:21.441 --> 00:00:24.221 Westerners have sunken eyes 6 00:00:24.616 --> 00:00:28.077 And Asians have a little more fat 7 00:00:28.077 --> 00:00:30.937 while Westerners have less fat 8 00:00:30.938 --> 00:00:36.458 Therefore, Westerners' eyes are sunken and have wrinkles on their eyes 9 00:00:36.908 --> 00:00:39.508 Another characteristic is the epicanthic fold 10 00:00:39.509 --> 00:00:43.049 Few Westerners have this fold in front of their eyes 11 00:00:43.050 --> 00:00:46.470 But Asians have these 12 00:00:46.470 --> 00:00:50.711 (Is there any other surgical method for epicanthic fold?) 13 00:00:50.909 --> 00:00:54.310 So if there is an epicanthic fold, during the double eyelid surgery 14 00:00:54.310 --> 00:00:58.293 The inner line of this double eyelid line is affected by epicanthic fold 15 00:00:59.329 --> 00:01:03.810 But not all Asians have these, and not all are thick 16 00:01:03.810 --> 00:01:06.930 In the case of Asians with a lot of epicanthic fold 17 00:01:07.030 --> 00:01:10.011 Removing this during double eyelid surgery 18 00:01:10.392 --> 00:01:12.372 It'll be much better in getting 19 00:01:12.373 --> 00:01:14.132 the design the patient wants 20 00:01:14.133 --> 00:01:18.289 (What are the types of double eyelid surgery, and how long does it take to recover?) 21 00:01:18.290 --> 00:01:20.904 The type of double eyelid procedure 22 00:01:21.285 --> 00:01:24.445 are hugely separated in incisions and suture method 23 00:01:24.636 --> 00:01:26.976 The incision means 24 00:01:27.322 --> 00:01:30.962 It's an operation that cuts the entire skin of the eyes 25 00:01:31.664 --> 00:01:33.944 On the other hand with the suture method, no incision is made 26 00:01:34.459 --> 00:01:39.300 instead, by making small punctures it's a method where a thread is used to create the double eyelid 27 00:01:39.943 --> 00:01:43.143 With the incision method, stitches can be removed after a week 28 00:01:43.544 --> 00:01:46.344 And 2 weeks recovery period will be needed 29 00:01:46.777 --> 00:01:50.257 With the suture method, the stitches are removed on the 4th day 30 00:01:50.542 --> 00:01:54.682 And has a quicker recovery period than the incision method 31 00:01:54.683 --> 00:01:58.863 (From what age is the double eyelid procedure possible?) 32 00:01:59.050 --> 00:02:02.190 The procedure has nothing to do with the age 33 00:02:02.511 --> 00:02:07.271 But people usually do it after middle or high school 34 00:02:07.783 --> 00:02:11.823 For example, If your eyelid pituitary gland is naturally severe 35 00:02:12.306 --> 00:02:15.126 You're going to have to operate on the age of 4 or 5 36 00:02:15.126 --> 00:02:18.586 Experience has shown that when you operate at the age of 4 or 5 37 00:02:18.891 --> 00:02:22.291 there are no problems regarding the shape as an adult 38 00:02:22.551 --> 00:02:24.811 This means age doesn't matter 39 00:02:25.159 --> 00:02:28.719 Still, I recommend it after some physical growth 40 00:02:28.991 --> 00:02:31.831 To have double eyelid surgery 41 00:02:31.831 --> 00:02:36.053 (Is it possible to proceed the surgery as the patient wants?) 42 00:02:36.053 --> 00:02:39.033 Double eyelid surgery can be done however you want 43 00:02:39.379 --> 00:02:42.859 Patients usually bring celebrity photos 44 00:02:43.493 --> 00:02:47.174 In this case, by seeing the picture we can lay out 45 00:02:47.174 --> 00:02:49.854 what kind of lines do the patients want 46 00:02:50.291 --> 00:02:52.931 We try to perform the surgery to the patient's needs as much as possible 47 00:02:53.446 --> 00:02:57.206 However, depending on the skin thickness and condition of the patient 48 00:02:57.550 --> 00:03:00.010 If the person on the picture and the patient are different 49 00:03:00.483 --> 00:03:03.363 We procced the surgery with some coordination 50 00:03:04.073 --> 00:03:07.740 Another thing to mention is, how much excessive skin there is 51 00:03:08.098 --> 00:03:14.198 If there isn't much extra skin it is hard to create the eyes the patients want 52 00:03:14.540 --> 00:03:17.514 Usually, when it comes to revision surgery, skin incision is needed 53 00:03:17.928 --> 00:03:20.968 therefore before the procedure, it is important to check 54 00:03:20.968 --> 00:03:22.829 if there is enough skin 55 00:03:22.830 --> 00:03:26.950 (How to look after post-operative scarring?) 56 00:03:27.556 --> 00:03:31.377 No particular special care is need after the procedure 57 00:03:31.377 --> 00:03:34.277 But not rubbing is the basic care 58 00:03:34.648 --> 00:03:37.780 Alcohol, cigarettes, etc. are not good for scars 59 00:03:37.780 --> 00:03:41.881 (Is it possible to get a revision surgery for the scarring?) 60 00:03:42.449 --> 00:03:46.222 Revision surgery is possible for the scars from the double eyelid procedure 61 00:03:46.223 --> 00:03:49.850 Revision surgery can improve the scar to some extent 62 00:03:50.084 --> 00:03:54.344 But you need to have enough skin to remove the scar 63 00:03:54.811 --> 00:03:57.991 And if there's almost no scar 64 00:03:57.992 --> 00:04:01.878 but if a patient wants to get the procedure done just improve it, I wouldn't recommend that at all 65 00:04:01.878 --> 00:04:08.545 Because scar removing procedure itself requires an incision, so scarring in inevitable 66 00:04:09.845 --> 00:04:11.788 So the scar on the eyes right now 67 00:04:11.789 --> 00:04:15.810 It is important to know if improvement is possible 68 00:04:15.810 --> 00:04:19.991 (Is revision surgery in different methods possible?) 69 00:04:20.172 --> 00:04:25.072 If the surgery was done in the suture method, it's possible to perform the revision surgery with the incision method 70 00:04:25.441 --> 00:04:31.401 People think that if the surgery was performed with the incision method, the revision surgery is only available with the same method 71 00:04:31.402 --> 00:04:34.346 But suture method is also possible 72 00:04:34.548 --> 00:04:39.988 Even if incision method was used, if you want the line a bit higher 73 00:04:39.989 --> 00:04:43.836 Or if you want the line to be the same and only change the angle 74 00:04:44.178 --> 00:04:45.928 It is possible with the suture method 75 00:04:45.928 --> 00:04:50.089 (Is revision surgery in different methods possible?) 76 00:04:50.251 --> 00:04:53.531 Today, I talked about the double eyelid surgery 77 00:04:53.532 --> 00:04:55.851 I hope it was helpful 78 00:04:55.851 --> 00:04:57.492 Hope to see you next time